PUNs and DENs: Discovering Learning Needs in General Practice (Radcliffe Professional Development)

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Alignment – how does that learning need fit in with the organisation’s higher goals? In the case of GP trainees, how does the learning need identified fit in or align to the GP Training programme? For example, does it cover a curriculum need? Perhaps it will help with the AKT or CSA. Or some other element for which evidence is required for completion of training. The restart of appraisals will, as explained above, bring with it changes to the appraisal format. These will be applicable for approximately 12 months from the 1 October 2020. Completing the learning style questionnaire enables the learner to select the method most suited to their preferred style. It will also enable them to make the most of that style, and from the basis of success, develop their other styles. Wherever possible, an agreement with the patient and their carers on the treatment proposed, appropriately explaining: the importance of context and organisational culture and how this impacts quality improvement work;

Additionally, working with research networks allows you to get a sense of research governance and the principles of good research practice. Self-directed learning Role-played consultations, for example during teaching or courses, are valuable in exploring consultation behaviour in a safe environment, especially those using 'standardised patients' (played by actors or role-players who have been trained to react in a consistent or specific manner).simple (symmetrical, skewed) distributions, scatter diagrams, box plots, forest plots, funnel plots, statistical process control charts, Cates diagrams, decision aids Other organisations such as The National Institute for Health and Care Excellence (NICE) and the Scottish Intercollegiate Guidelines Network (SIGN) play an important role in the safety and quality of clinical interventions and patient pathways. Prescribing

Working in the NHS, we have authority and influence over fellow colleagues and patients and it is important to recognise the impact we have on those around us. This is especially important when considering our duty not to discriminate against our patients or colleagues and to encourage equality and diversity 3. Psychosocial, cultural, political, economic and other social determinants affecting evidence-based practiceWe’ve put together this template to make it really easy to identify plenty of PUNs, leading you on to then create the DENs, all together in a very presentable AppraisalAid template to upload to your favourite appraisal toolkit like Clarity or Fourteen Fish. CPD – Puns and dens As a specialty trainee, primary care is the ideal place for you to learn about the GP consultation in practice. There will also be excellent opportunities in secondary care settings. Examples of how to make the most of your clinical experience include:

Equality and diversity encourages the promotion of inclusion as well as protects employment rights. It is important to be able to raise issues and challenge colleagues should any behaviour lead to discrimination. arrangements for monitoring, follow-up and review, including further consultation, blood tests or other investigations, processes for adjusting the type or dose of medicine, and for issuing repeat prescriptions if appropriate (for example, DMARDS, warfarin, lithium) the importance of involving patients and carers in quality improvement work – and how to do this effectively;Phone call: a father wants to know why an antibiotic was not prescribed during an earlier consultation for his child, whom now has acute otitis media

Systems design principles that make it easy for healthcare workers to do the right thing or to make errors Timeliness: reducing waits and sometimes harmful delays for both those who receive and those who give care A patient is seen with a peptic ulcer, has heard of triple therapy and wants it. You prescribe but wonder if you have given the best prescription — there seem to be several different regimens promoted and should you have insisted on gastroscopy first, or is there a reliable test for the presence of Helicobacter. Here is a Clinical Knowledge PUN and the corresponding DEN is to learn more about triple therapy. It is important to apply effective strategies for communicating about and reducing the risk of dependency or addiction to medicines where this may occur (for example, opioids, benzodiazepines, GABA drugs) as well as supporting and managing patients who have become dependent on medications, seeking specialist advice and intervention when appropriateBook and web resources relevant to the GP consultation can be found in the curriculum section "Being a General Practitioner". Balint groups There should be a working knowledge of following topics. Although this is not an exhaustive list, it includes: This topic overlaps with others and, in particular, should be considered in conjunction with the following RCGP Topic Guides: